Abstract

A 7.5-year-old boy was admitted to our department with left undescended testis. On surgical exploration, the vas deferens and epididymis were normal in appearance in its route to the scrotum, but no obvious testis or testis-like structure was identified. Exploration was extended to the abdominal cavity via the processus vaginalis, and the testis was found near the sigmoid colon without any connection to the vas deferens and epididymis. The testis was freed from surrounding structures preserving the testicular vasculature, and an orchidopexy was performed. In cases of nonpalpable testis with the vas deferens and epididymis reaching to the scrotum, an intra-abdominal testis owing to a nonunion phenomenon must be considered, and extended exploration should be performed.

Links

Publisher Full Text

Authors

Karaman A, Karaman I, Yılmaz E, Yağız B, Ozgüner IF

Institution

Department of Pediatric Surgery, Dr Sami Ulus Children's Hospital, Ankara, Turkey. ayseuk@gmail.com

Source

Journal of pediatric surgery 46:12 2011 Dec pg e17-8

MeSH

Child
Cryptorchidism
Epididymis
Humans
Male
Testis
Vas Deferens

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22152900